| NPI | 1083960918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R210363) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD R210363) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2025-11-22 |